Acyclovir 400 mg tablet at Banner Page Hospital
501 North Navajo Drive, Page, AZ · Banner Health · · NPI 1578515789
$2.56
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$28.73
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$0.09 with Arizona Physicians IPA vs $0.57 with National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Arizona Physicians IPA | Medicaid | $0.09 | ↓ -96% |
| Humana | Medicare Advantage | $0.20 | ↓ -92% |
| Plotkin Health | Plotkin Health | $0.27 | ↓ -89% |
| Aetna | Banner Employee Plans | $0.30 | ↓ -88% |
| Banner Health | Medicare Advantage | $0.32 | ↓ -88% |
| Aetna | Medicare Advantage | $0.32 | ↓ -88% |
| Arizona Physicians IPA | Medicare Advantage | $0.32 | ↓ -88% |
| Banner University Health Plan | Medicare Advantage | $0.32 | ↓ -88% |
| Blue Cross Blue Shield of Arizona | Medicare Advantage | $0.32 | ↓ -88% |
| Care 1st | Medicare Advantage | $0.32 | ↓ -88% |
| Cigna Healthcare of Arizona, Inc. | HMO Medicare Advantage Plan/PPO Medicare Advantage Plan | $0.32 | ↓ -88% |
| Gila River Health Care Corporation | Managed Care Program | $0.32 | ↓ -88% |
| Health Choice Arizona, Inc. | Medicare Advantage | $0.32 | ↓ -88% |
| Health Net | Medicare | $0.32 | ↓ -88% |
| Kaiser Foundation Health Plan | Medicare Advantage | $0.32 | ↓ -88% |
| Mercy Care | Mercy Care Advantage | $0.32 | ↓ -88% |
| TriWest Healthcare Alliance Corp - VA CCN | Tricare | $0.32 | ↓ -88% |
| TriWest Healthcare Alliance Corp - VA CCN | VA Community Care Network | $0.32 | ↓ -88% |
| United Healthcare | UHC Medicare Advantage | $0.32 | ↓ -88% |
| UPMC Health Plan | Medicare Advantage | $0.32 | ↓ -88% |
| Wellpoint | Medicare Advantage HMO | $0.32 | ↓ -88% |
| United Healthcare | UHC Individual Exchange | $0.33 | ↓ -87% |
| Carelon | Medicare Advantage | $0.33 | ↓ -87% |
| Arizona Priority Care | Medicare Advantage | $0.35 | ↓ -86% |
| Devoted Health Services | Medicare Advantage | $0.35 | ↓ -86% |
| Gold Kidney Health Plan | Medicare Advantage | $0.35 | ↓ -86% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Neighborhood | $0.36 | ↓ -86% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance/BXBSAZ Blue HPN | $0.38 | ↓ -85% |
| Health Choice Arizona, Inc. | ACA Health Plan | $0.39 | ↓ -85% |
| Blue Cross Blue Shield of Arizona | BXBSAZ Alliance CHS | $0.40 | ↓ -84% |
| Quiktrip Corporation | Commercial | $0.42 | ↓ -84% |
| Aetna | Aetna Qualified Health Plan | $0.43 | ↓ -83% |
| Coconino County Sheriff's Department | Commercial | $0.44 | ↓ -83% |
| Aetna | Joint Venture | $0.44 | ↓ -83% |
| Health Net | Commerical Exchange Product | $0.47 | ↓ -82% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Workers Comp | $0.47 | ↓ -82% |
| Blue Cross Blue Shield of Arizona | BCBSAZ Medicare | $0.47 | ↓ -82% |
| Blue Cross Blue Shield of Arizona | Commercial | $0.47 | ↓ -82% |
| Oscar Health Plan | Commercial | $0.52 | ↓ -80% |
| Aetna | Medical Rental | $0.53 | ↓ -79% |
| Provider Network of America | Commercial | $0.54 | ↓ -79% |
| Aetna | Broad Network | $0.54 | ↓ -79% |
| Cigna Healthcare of Arizona, Inc. | Commerical/HMO Benefit Plan/Local Flex Plan/Network Benefit Plan/Open Access Plan | $0.55 | ↓ -79% |
| Arizona Medical Network | Commercial | $0.57 | ↓ -78% |
| National Healthcare Solutions Inc (NHSI) and VIP Universal Medical Insurance Group (VUMI) | NHSI VUMI | $0.57 | ↓ -78% |
Visitor-reported prices
Comments
Acyclovir 400 mg tablet at other Arizona hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner University Medical Center Phoenix | Phoenix | $11.38 | $0.01 – $3.68 |
| Banner Baywood Medical Center | Mesa | $16.36 | $0.62 – $9.46 |
| Banner Behavioral Health Hospital | Scottsdale | $12.95 | $0.82 – $2.93 |
| Banner Boswell Medical Center | Sun City | $5.38 | $0.72 – $7.22 |
| Banner Casa Grande Medical Center | Casa Grande | $24.54 | $0.01 – $5.54 |
| Banner Del Webb Medical Center | Sun City West | $17.59 | $0.63 – $3.68 |
| Banner Desert Medical Center | Mesa | $10.13 | $0.00 – $9.46 |
| Banner Estrella Medical Center | Phoenix | $69.01 | $0.06 – $9.46 |